- Elevance Health (Wilmington, DE)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This position will work a hybrid model (remote and office). The ideal ... of our Elevance Health PulsePoint locations. The ** Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for planning, directing… more
- Evolent Health (Trenton, NJ)
- …analytics to drive decision making and with Hierarchical Condition Category Risk Adjustment - **Preferred** . + Leadership/ mentoring experience supporting ... as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve complex… more
- Humana (Trenton, NJ)
- …Provider Service Experience, Network Optimization, Clinical Services, Value-Based contracting, HEDIS and Risk Adjustment . Reporting to the Director , Provider ... for Behavioral Health providers and associations. + Supporting Stars, HEDIS & Risk Adjustment initiatives and Ohio Department of Health quality initiatives… more
- Bristol Myers Squibb (Philadelphia, PA)
- …within the assigned territory. The CMAM will report into the East Region Director , Cell Therapy Market Access Managers. The individual is required to achieve all ... experience including: + Coverage, coding, billing and payment + Medicare (NCD, IPPS, OPPS, 340B, etc.) + Medical policy,...by your state of residence, and 3) a driving risk level deemed acceptable by the Company. \#LI-Remote If… more